Bailey Jensen, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW61095614 Issued in WA

Practice address

18612 70TH LN NE Apt 109
Kenmore, WA 98028-2152

Phone

(402) 813-1663

NPI assigned

Dec 24, 2020

Last updated

Dec 24, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1608768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608768000000",
    "number": "1730776725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18612 70TH LN NE APT 109",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980282152",
            "telephone_number": "402-813-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18612 70TH LN NE APT 109",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980282152",
            "telephone_number": "402-813-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "BAILEY",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-24",
        "last_updated": "2020-12-24",
        "certification_date": "2020-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61095614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrative Mental Care
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• Rebecca Ivy
• Sunita Iyer, ND, LM
• Jennifer S Emerson D.D.S., P.L.L.C. (North Seattle Restorative and Preventative Dentistry)
• Jordan Marie Johnsen, RDH
• Celeste Marie Johnson
• Ya Li Kelly
• Kenmore Senior Living LLC (Spring Estates Senior Living Community)
• Molly L Keys, ND

• Clinical Social Worker in Kenmore, WA
• Providers in Kenmore, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.